Most Relevant Information
Provider Data
| NPI Number: | 1003365487 |
| Provider Name: | KEVIN MUKALEL OTD |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 46TR00752800 |
Most Important Dates
| Enumeration Date: | 09/27/2016 |
| Last Updated: | 09/27/2016 |
Provider Practice Location
563 NORTHFIELD AVE
WEST ORANGE
NJ
070522426
Practice Location Phone/Fax
| Phone: | 9732432060 |
| Fax: |
Provider Mailing Location
2282 MORRISON AVE
UNION
NJ
070835249
Provider Mailing Phone/Fax
| Phone: | 9083134397 |
| Fax: |